CARE INFORMATION PACKAGE · Then you’ll meet your qualified caregiver! Taking Care We’ll help you set achievable goals to improve your health and independence. Enriched Care Stay

At Nurse Next Door, we know it’s about caring, not just health care. Our goal is to help your loved ones get back to doing the things they love while staying in the comfort of their own home.

CARE INFORMATION PACKAGE

Call now 1.866.318.7932www.nursenextdoor.com | making lives better®

© 2015 Nurse Next Door. All Rights Reserved.

TABLE OF CONTENTS

Our Promise to You ...........................................................................................................1

Who We Are ....................................................................................................................1

Our Services ................................................................................................................... 2

Researching Home Care ................................................................................................... 6

What to Expect from a Caring Consult ............................................................................... 7

Frequently Asked Questions ............................................................................................. 8

Getting Parents to Accept Help ........................................................................................ 11

Making Lives Better One Visit at a Time ............................................................................. 12

What People Say About Us .............................................................................................. 13

Next Steps ..................................................................................................................... 13



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Nurse Next Door will do whatever it takes to bring you peace of mind. This is our brand promise and is exemplified from our caregivers all the way to the core of the company. We listen to our clients and make sure every detail is taken care of.

The Perfect Match – Nurse Next Door promises a 100% match guarantee. We pair our clients and caregivers up based on their attributes, interests, and requests. Consistency is important to us and we want our caregivers and clients to build trusting and caring relationships.

Fast and Easy Access – We promise that care can be set up quickly and with as little as 24 hours notice. Our caregivers keep us up-to-date on their availabilities, so we can have them at your door promptly and efficiently.

Always Open – 24/7 access, 24/7 service – Nurse Next Door has a live person available 24/7 so you can call any time. Care can be set-up anytime, even if it’s in the middle of the night.

We Manage Everything, Every Step of the Way – Once you meet with our Care Designer for a Caring Consult, they will create a customized care plan based on your needs. You will identify what you would like the schedule to be, and we’ll keep you updated and informed.

Nurse Next Door Home Care Services is one of North America’s fastest growing home care providers and is dedicated to delivering flexible, affordable and quality care options to seniors.

Founded in 2001, Nurse Next Door has more than 100 locations across North America and is fast becoming a globally admired brand.

OUR PROMISE TO YOU WHO WE ARE



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It’s about caring, not just health care. That’s why we’re here to help get your loved one back to doing the things they love. Whether it’s a little help around the house with delicious meal preparation or medication reminders, let us do the caring.

We offer two Pillars of Caring to help you find the level of support you need. Pick a Pillar and give us a call to set up a free Caring Consult with one of our Care Designers.

ServicesDuring our free consult, we will get to know you and build a caring plan based on what will make you healthy and happy. Then you’ll meet your qualified caregiver!

Taking CareWe’ll help you set achievable goals to improve your health and independence.

Enriched CareStay comfortable and safe in your own home. Medication and daily living services.

Companionship

Meal preparation

Homemaking

Transportation or accompaniment

Personal care

Alzheimer’s and dementia support

Caregiver relief / respite care*

Live-in care*

Special needs care*

OUR SERVICES

*Available services may vary depending on location



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Our Meal Preparation services include: ▪ Menu planning ▪ Creating a grocery list ▪ Shopping for groceries ▪ Educating on food choices ▪ Preparing specialized diets ▪ Cooking your favorite recipes ▪ Setting up a dining environment

Meal PreparationGood nutrition and healthy eating becomes more and more important as we age. A nutritional diet offers innumerable benefits that keep you mentally and physically well. Our caregivers love to prepare delicious meals and you can request specific ethnic cuisines and dishes.

Our Homemaking services includes: ▪ Laundry ▪ Washing dishes ▪ Dusting ▪ Tidying up ▪ Vacuuming ▪ Bed making

HomemakingAt Nurse Next Door, we offer light housekeeping services to our clients to assist them with the daily activities they are no longer able to do or have difficulty undertaking on their own. Our services allow our clients to remain at home in a safe and clean environment.

CompanionshipNurse Next Door understands that you may need support with various activities. We also recognize that feeling lonely and isolated is one of the leading causes of depression in seniors. Our trusted caregivers are specifically chosen to provide and support social interaction for maintaining health and mental well-being. It’s all about happiness!

Our companionship services include activities such as:

▪ Shopping for food and other items ▪ Doing crafts and hobbies ▪ Driving and attending appointments

(e.g. doctor visits) ▪ Medication reminders ▪ Social activities ▪ Light gardening ▪ Going for leisurely walks ▪ Walking the dog ▪ Attending concerts or festivals ▪ Participating in community events ▪ Conversations, story telling and reading books



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Our services include: ▪ Providing techniques to improve

communication ▪ Coping strategies for family caregivers to deal

with challenging behaviors ▪ Maintaining a familiar and safe environment

with a daily routine ▪ Memory games and activities for

mental stimulation ▪ Family support through resources, training

and educating ▪ Providing respite care ▪ Personal support services ▪ Promoting a physical activity plan

Alzheimer’s and Dementia SupportNurse Next Door understands that when a loved one has been diagnosed with dementia it can be a very challenging time. Our caregivers are trained to deal with Alzheimer’s and related dementias. We know how dementia can affect clients and their families. Nurse Next Door provides support and guidance to clients and their families in dealing with ongoing challenges and responsibilities of providing care.

Personal Care services may include: ▪ Bathing and personal hygiene ▪ Personal grooming and getting dressed ▪ Hair care ▪ Oral hygiene (brushing, flossing and

denture care) ▪ Skin care ▪ Toileting assistance ▪ Ambulation, assistance and transfers with or

without mechanical aids ▪ Range-of-motion exercises ▪ Assistance with medications ▪ Light housekeeping ▪ Preparing delicious meals ▪ Accompanying to appointments

Personal CareNurse Next Door’s personal care services are designed to promote and maintain a client’s independence in performing the routine activities of daily living. Our goal is to assist clients to maintain an independent lifestyle wherever they live: at home, in assisted living or in a long-term care facility.

We are available to provide this professional service for:

▪ Appointments ▪ Shopping ▪ Groceries ▪ Outings ▪ Physical activities ▪ Religious services ▪ Family events

Transportation or AccompanimentWe all have appointments and activities we need to attend, but not everyone is able to provide their own transportation. We can arrange for a Nurse Next Door caregiver to provide transportation and accompaniment. Services provided are based on the client’s needs.



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*Available services vary depending on location

Live-in care services can include: ▪ Companionship ▪ Homemaking ▪ Personal care ▪ Nursing care ▪ Medication management and reminders ▪ Dementia care

Live-in Care*If around-the-clock care is needed, Nurse Next Door offers live-in services. Live-in care is a great option for clients who require ongoing services throughout the day and night. Depending on the client’s needs, a range of services can be scheduled daily, weekly, or monthly.

Our caregiver relief / respite care includes: ▪ Pediatric care ▪ Postnatal care ▪ Nursing care ▪ Dementia care

Caregiver Relief / Respite Care*Caring for a loved one can be demanding, and family caregivers may require time away to re-energize themselves. Nurse Next Door provides respite care for parents and families who need temporary relief to attend to other responsibilities and obligations. Our services are available for all levels of care and all age groups.

Our Special Needs Care includes: ▪ Companionship ▪ Bathing and personal hygiene ▪ Personal grooming and getting dressed ▪ Hair care ▪ Oral hygiene (brushing and flossing teeth) ▪ Skin care ▪ Assistance with toileting ▪ Ambulation, assistance and transfers with or

without mechanical aids ▪ Assistance with medications

Special Needs Care*Nurse Next Door provides specialized care for clients of all ages, not just seniors. We realize that children living with disabilities have unique care needs and that is why our caregivers are always qualified and trained with that type of care.



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RESEARCHING HOME CARE

Finding the right home care provider can be a daunting task – especially if you’re not sure what to look for. Use the following checklist to compare Nurse Next Door to other home care services to help you make the best choice for you.

Provider Overview Nurse Next Door Provider #1 Provider #2

Is the provider locally owned and operated?

Does the provider answer the phone with a live team of specialists available 24/7?Does the provider have appropriate liability insurance?

Are employees licensed, bonded and insured?

Caregiver Screening & Matching Nurse Next Door Provider #1 Provider #2

Are all caregivers interviewed in person?

Does the provider perform background checks, criminal record checks and medical screening?Does the provider perform reference checks on all caregivers?Are caregiver arrival and departure times monitored remotely through an automated system?Does the provider replace a caregiver at a client’s request at no additional fee?Do caregivers receive thorough orientation and ongoing training?

Ongoing Management & Supervision Nurse Next Door Provider #1 Provider #2

Are free, in-person consultations with Care Designers or managers offered for families?Are free supervisory and follow-up visits performed regularly by a Care Designer or manager?

Happiness Nurse Next Door Provider #1 Provider #2

Are clients matched with caregivers who share the same passions, interests and hobbies?Is there a system to have clients get back to doing the things they love?



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Our Caring Consult is an assessment of your physical and psycho-social needs and is conducted by one of our trained Care Designers. It is free, with no-obligation and can be conducted in your home, a hospital, facility, or location of your choice. It is designed to provide us with information so we can discuss the direction of your specific care and customize a plan tailored to your needs.

Our number one goal is your happiness! If there is something you loved to do but are unable to do presently, we always find ways to help you relive those memories.

Sometimes providing care for a loved one can be a difficult decision and there are times when your loved one will resist the support. If that’s the case, we can discuss your situation and meet with you privately. During that time, we will provide you with a number of great tips to support you in your discussions. We promise that information provided will remain confidential.

Give us a call today! Home care service is a great solution to maintaining one’s independence while providing care in the comfort of your own home.

WHAT TO EXPECT FROM OUR CARING CONSULT™



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FREQUENTLY ASKED QUESTIONS

Are your services only for seniors?We provide services to the entire age spectrum – from newborn babies to seniors.

Do you provide services in long-term care facilities or assisted living facilities?Yes, people sometimes discover that the assistance provided in a facility is not enough to enable them to remain independent. At Nurse Next Door, our caregivers can provide services to you or your loved one in facilities such as hospitals, long term care, assisted living facilities and retirement communities.

How does the cost of staying in my home compare to finding an assisted living care facility?Depending on your needs, the costs associated with in-home care services can be comparable or less than the costs of an assisted living facility.

Choosing Nurse Next Door allows you to remain in your home and maintain your level of independence within a comfortable and familiar environment. We find that our clients rarely need full-time care. We will design your care and services to meet your current needs and plan for your future needs.

How are caregivers selected for a visit? Once our Care Designer completes your Caring Consult, they will determine whether your need is for a registered staff or a support worker. Our Care Designer will select the most suitable skilled caregivers based on your needs. We will always keep you updated on the schedule so you are aware of which caregivers will be coming.

Will I have the same caregiver all the time?At Nurse Next Door, we strive for consistency of care and provide regularly assigned caregivers. Our goal is to custom match clients and caregivers based on your interests and needs. Consistency is important to us and we believe in building ongoing relationships with our clients.

What happens if my caregiver is not available?Should your caregiver not be available, we will ensure that a suitable replacement is found and you will be notified in advance.



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Can I change the schedule if I have appointments to keep?We understand that there may be times where you need to change your schedule due to outside appointments, family commitments, or anything else that comes up. Our philosophy at Nurse Next Door is to make the schedule work for you and your family – your needs and requests come first and we will always be willing to accommodate. When you anticipate having to reschedule, contact our Care Services Center to add, change, or cancel a visit. Our Care Services Specialists are available 24 hours every day.

What if I need to speak to someone in the office after business hours?Our Care Services Center is available around the clock - 24/7. You can call at any time and one of our care specialists will be happy to assist you.

How is the care plan created and can it be modified?Ideally, you and/or your family will participate fully in the planning of your care. Sometimes information is obtained by discussion with your family physician, hospital staff, or other health professionals. Our Care Designer will create your plan of care by identifying specific goals that are responsive, flexible and in line with your care needs.

You will have a copy of the care plan in your home and the information will be communicated to each caregiver that is assigned to your care. The caregiver will follow the care plan and notify the Care Designer if there are any changes.

Our Care Designers conduct regular visits to your home to ensure that: ▪ You are satisfied and the care provided is meeting your needs ▪ You and your family are well informed of any changes



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Do I have to sign a contract for services and am I committed for a specified period of time?After our Care Designer completes your Caring Consult, she/he will suggest the type and frequency of services based on your needs. If you agree to the plan of care, you will be asked to sign a client services agreement prior to the initiation of services. Our Care Designer will review the entire agreement with you and your family. When you no longer require the services of a caregiver, Nurse Next Door requires a minimum of 24 hours notice to cancel services.

Why should I use Nurse Next Door Home Care Services rather than hiring a caregiver privately?Finding the right kind of home care can be difficult. While hiring a private caregiver might seem more convenient, do you really know what you are paying for? Here are some of the questions you should consider prior to making that decision:

What kind of background and screening checks can you do on your own for a caregiver? At Nurse Next Door, every caregiver is carefully screened and has a criminal background check. We confirm our caregivers’ educational credentials and that they are licensed by the state.

If my caregiver is unavailable, who will fill in?At Nurse Next Door, we ensure there is a replacement when one of our caregivers becomes unavailable. We believe in continuity of care and services, and will contact you to inform you of a caregiver change.

Is the caregiver bonded and insured? If not, can you afford the liability?At Nurse Next Door, all of our caregivers are bonded and insured.

What if the caregiver injures themselves while in your home? Does the caregiver have coverage for workers’ compensation?Despite everyone’s best efforts, accidents can happen in any workplace. At Nurse Next Door, each office provides workers’ compensation coverage for their employees and is registered with the Workers’ Compensation Board. This is done to protect employees from the financial hardships associated with work-related injuries and occupational diseases.

Who will handle the payroll for the caregiver and ensure that mandatory government deductions are made?Each Nurse Next Door office ensures that every caregiver is paid on time and that mandatory payroll deductions are made in accordance with government regulations.



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8. Show them the stats. Almost all injury-related hospitalizations are a result of a simple fall, and 1 out of every 3 seniors will fall this year. Do they realize that a little bit of help may prevent these things from happening?

9. Ask them about their fears and their goals. Ask them about what they fear about getting older (recent studies show that the number 1 fear of aging is losing independence and the number 2 fear is moving out of their own home and into a nursing home). Then ask them what their goals are and start working together to help make these goals come true.

10. If all else fails, hire a “friend” to help. Schedule a rendezvous at their favorite restaurant and have lunch. We know it isn’t being completely honest, but it could mean the difference between getting the help you and your parents need and watching your parents end up in a situation they don’t want to be in.

Getting mom or dad to say yes to caring is the hardest part of being a family caregiver. Don’t worry – we’ve taken our years of experience and put it into a quick and easy read.

1. Seek the advice of a trusted professional. A physician can be your best ally in getting your parents to accept help. We often find that bringing in Nurse Next Door for a free consultation and having an outside expert opinion can go a long way.

2. Hire a caregiver to manage household chores and not actual hands-on care. This is less threatening to a loved one’s independence and will serve as a means to “get the caregiver in the door.” Place emphasis on just getting help for chores – vacuuming, laundry, grocery shopping or even meal preparation.

3. Direct your attention to the parent who needs more help. By allying yourself with the more independent parent, you may ultimately be able to get them both to accept the help they require.

4. Focus on you as the caregiver needing the help and not them needing assistance. “I’m not sleeping; I can’t eat and can’t think at work because I am worried about you. Please do this for me; work with me to come up with a solution we can both live with.” Your parents love you and have always taken care of you. Helping you with this dilemma is just another thing they can do for you.

GETTING PARENTS TO ACCEPT HELP

5. Tour a few nursing homes as an alternative. Let them choose whether they want to move or stay at home. Tell them that if they want to stay at home for as long as possible (or forever!), then hiring a caregiver is going a long way in making that come true!

6. Give them a potential out. “Let’s try this for two months. If you still don’t like having someone help you with the chores, then we can consider other options.”

7. Discuss money. Let them know that spending money on their happiness and keeping them in their own home is worth far more to you than a few extra dollars of inheritance.



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MAKING LIVES BETTER ONE VISIT AT A TIME®

Gerard is an old war veteran. He has been receiving live-in care with Nurse Next Door to help him around the house, keep him company and ensure he is safe at home. Nurse Next Door takes care of Gerard’s needs, but still allows him as much independence as he wants and is capable of. After about a year of service, on Gerard’s birthday, he was presented a portrait of himself, painted by his regular caregiver, Louis. Gerard had no idea that Louis had this kind of talent, and the gift touched him deeply. Louis still sees Gerard regularly, and they have a great friendship.

Alex was a bed-ridden patient in hospice. The hospice approached Nurse Next Door as Alex had become very ill and they wanted someone to take care of him in his last days. Beth, a Nurse Next Door caregiver, went in, got him out of bed, cleaned him up, and slowly started to get him active. He was asked what he would love to do, and he stated that he had never cooked a meal in his life and wanted to learn how to cook. Beth taught him how to cook

At Nurse Next Door, our clients are our storytellers and their happiness is our priority. We’re not just providing a service, but we’re allowing our clients to achieve their goals and realize they can still do things they thought were no longer possible. We like to call this “Happier Aging” and there are no limits to what our clients can wish for.

a pot roast. He got all dressed up and served his children and grandchildren the meal. He has also opened up to his daughter and started talking to her about his experiences in the war and the airforce. With Nurse Next Door’s help, Alex entered remission and extended the time he has to live.

Evelyn was in declining health, and her physician suggested that she get some extra help to make sure she was eating properly and taking her medications. Evelyn didn’t want anything of the sort, but her daughter knew that she would need someone to help out if they wanted to see any improvement. Evelyn’s daughter hired Nurse Next Door, who sent their caregiver Sheila, but Evelyn was still resistant. She would refuse to let Sheila into her house every day, but Sheila would still show up each time she was supposed to be there. Since Evelyn wasn’t letting her in, Sheila just worked outside and tended to Evelyn’s garden for many days. One day, Evelyn opened the door and said “Well, if you’re going to continue to show up, you might as well come in.” From this, a fantastic relationship was born!

*Names have been changed to protect the privacy of our clients and staff



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NEXT STEPS

To book your free Caring Consult™, give us a call at

1.866.318.7932We’ll be happy to set that up for you.

Once you’ve set up a Caring Consult, our Care Designer will meet you at your requested location, date, and time. If you need to change this, you can call our Care Services Center to re-schedule. At the Caring Consult, our Care Designer will present you with a service agreement and services can be set up as quickly as within 24 hours!

WHAT PEOPLE SAY ABOUT US

In my time of desperation, a friend recognizing my need for help suggested a wonderful service called Nurse Next Door. Amy and Randy came to my house to explain the service. There are no contracts, the hours are flexible and they are willing to accommodate my need for food preparation, light housework and hygiene. It is heartwarming to have my companion come in my door with a bright cheery smile ready and willing to make my life much better.”— Sara S. (client)

The greatest thing about Nurse Next Door is the people who work for them! They are caring and responsive to both the client and their family. I believe if it wasn’t for them, my mother-in-law would probably have to go to a nursing home. She is 88 years old, and has problems ambulating and with incontinence. Nurse Next Door, with their daily care, has offered her the freedom of staying in her own familiar home. They offer her both physical and emotional support and accompany her to her many MD appointments and even hair dresser appointments. I find them caring, loving, and warm, and it is a pleasure working with them.”— Lois D. (client daughter-in-law)

Their care allows me to run the rest of my life, you know, because I have a full-time job and two 16-year-olds who need to go places. Nurse Next Door has taken the burden off of me. There’s really no other way we could have managed it. And it really gave me peace of mind, too, because that’s what I was most concerned about when she was living independently. I’d tell her, ‘Geez, Mum, if you fell, I wouldn’t even know about it until I called that night at 5 o’clock.’ So that’s what they give me.”— Sari F. (client daughter)

Documents

CARE INFORMATION PACKAGE · Then you’ll meet your qualified caregiver! Taking Care We’ll help you set achievable goals to improve your health and independence. Enriched Care Stay